Jennifer Elizabeth Wademan, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

13507 Issued in CA

Practice address

2545 E Bidwell St
Suite 160
Folsom, CA 95630-6440

Phone

(916) 983-0896

Fax

(916) 983-0172

NPI assigned

Aug 5, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern California College of Optometry, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bidwell OptometryGroup PAC ID 9739353558, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20004/brand/12/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bidwell Optometry

  • Optometrist
  • Folsom, CA
  • NPI 1063724995
  Medicare reassignment Care Compare group NPD
• Spectrum Eyecare Optometry Inc

  • Optometrist
  • San Dimas, CA
  • NPI 1801949573
  Medicare reassignment NPD
• Blue Oaks Eyecare Inc

  • Optometrist
  • Roseville, CA
  • NPI 1679862544
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480636800000",
    "number": "1023274396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2545 E BIDWELL ST",
            "address_2": "STE 160",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306442",
            "telephone_number": "916-539-5030",
            "fax_number": "530-885-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 E BIDWELL ST",
            "address_2": "SUITE 160",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306440",
            "telephone_number": "916-983-0896",
            "fax_number": "916-983-0172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADEMAN",
        "first_name": "JENNIFER",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-05",
        "last_updated": "2016-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debbie Von Dessonneck
• Ksenia Voronina, M.D.
• Miranda Olivia Voulgarelis
• VSP Care Home LLC
• VI Thuy Vu, PHARMD
• Justin B Wagner, M.D.
• Katrina Wagner
• Pamela H.S. Wagner, M.D.
• Qais Mohammad Wahidi, M.D
• Sean M Wahlquist, M.D.

• Optometrist in Folsom, CA
• Providers in Folsom, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.